Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02202 | Date 13/07/2022 |
| Token No | SM/22-23/1261 13/07/2022 | Serial | 015 |
| Patient Name | Mrs. RINA ROY | Contact No | 8981405002 |
| Address | BIBIRBER SANTIPALLI SERAMPORE 712203 | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||